Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225100000X | Physical Therapist | PT26467 | CA |
NPI | 1003131483 |
---|---|
Provider Name | Mrs. Christy Lynn Skura |
First Address | Los Angeles, CA 90034-3216 |
Second Address | Los Angeles, CA 90034-3216 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 29/03/2010 |
Last Update Date | 16/04/2014 |